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Pseudomonas Folliculitis

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1. Pseudomonas Folliculitis

Pseudomonas Folliculitis Pseudomonas Folliculitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pseudomonas Folliculitis Pseudomonas (...) Folliculitis Aka: Pseudomonas Folliculitis , Hot Tub Folliculitis From Related Chapters II. Etiology: Pseudomonas aeruginosa contaminated water Whirpool or hot tub Contaminated loofah sponge Contaminated diving suit Waterslide or small pool III. Symptoms Onset 8 hours to 5 days (mean 2 days) after exposure Pruritic rash most severe in bathing suit area May be associated with systemic symptoms Malaise Low grade fever IV. Signs Characteristics: Perifollicular lesions Initial l under 3 cm Central or Healing

2018 FP Notebook

2. Pseudomonas Folliculitis (Treatment)

Pseudomonas Folliculitis (Treatment) Pseudomonas Folliculitis Treatment & Management: Medical Care, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTA1MzE3MC10cmVhdG1lbnQ= processing > Pseudomonas (...) Folliculitis Treatment & Management Updated: Jul 31, 2018 Author: Charles B Toner, MD; Chief Editor: Dirk M Elston, MD Share Email Print Feedback Close Sections Sections Pseudomonas Folliculitis Treatment Medical Care P aeruginosa is usually a self-limited infection, clearing in 2-10 days. Despite the discomfort caused by the Pseudomonas folliculitis rash, no treatment is necessary. Systemic spread is typically not observed. P aeruginosa is resistant to nearly all common topical and oral antibiotics

2014 eMedicine.com

3. Pseudomonas Folliculitis (Overview)

Pseudomonas Folliculitis (Overview) Pseudomonas Folliculitis: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTA1MzE3MC1vdmVydmlldw== processing > Pseudomonas Folliculitis (...) Updated: Jul 31, 2018 Author: Charles B Toner, MD; Chief Editor: Dirk M Elston, MD Share Email Print Feedback Close Sections Sections Pseudomonas Folliculitis Overview Background Pseudomonas folliculitis is a community-acquired skin infection, which results from the bacterial colonization of hair follicles after exposure to contained, contaminated water (eg, whirlpools, [ , , , , , ] swimming pools, [ ] water slides, bathtubs). Pseudomonas is one of the top three pathogens associated with recreational

2014 eMedicine.com

4. Pseudomonas Folliculitis (Follow-up)

Pseudomonas Folliculitis (Follow-up) Pseudomonas Folliculitis Treatment & Management: Medical Care, Prevention Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTA1MzE3MC10cmVhdG1lbnQ= processing > Pseudomonas (...) Folliculitis Treatment & Management Updated: Jul 31, 2018 Author: Charles B Toner, MD; Chief Editor: Dirk M Elston, MD Share Email Print Feedback Close Sections Sections Pseudomonas Folliculitis Treatment Medical Care P aeruginosa is usually a self-limited infection, clearing in 2-10 days. Despite the discomfort caused by the Pseudomonas folliculitis rash, no treatment is necessary. Systemic spread is typically not observed. P aeruginosa is resistant to nearly all common topical and oral antibiotics

2014 eMedicine.com

5. Pseudomonas Folliculitis (Diagnosis)

Pseudomonas Folliculitis (Diagnosis) Pseudomonas Folliculitis: Background, Pathophysiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTA1MzE3MC1vdmVydmlldw== processing > Pseudomonas Folliculitis (...) Updated: Jul 31, 2018 Author: Charles B Toner, MD; Chief Editor: Dirk M Elston, MD Share Email Print Feedback Close Sections Sections Pseudomonas Folliculitis Overview Background Pseudomonas folliculitis is a community-acquired skin infection, which results from the bacterial colonization of hair follicles after exposure to contained, contaminated water (eg, whirlpools, [ , , , , , ] swimming pools, [ ] water slides, bathtubs). Pseudomonas is one of the top three pathogens associated with recreational

2014 eMedicine.com

6. Deep Folliculitis

Folliculitis From Related Chapters II. Causes ( or ) (Pseudomonas aeruginosa) Sycosis (entire inflammed) Sycosis barbae (beard area involved) Scalp involvement Gram-negative Associated with longterm antibiotic for Usually involves face Caused by , , Consider treatment with Isotretoin ( ) III. Symptoms and signs Painful, swollen red mass IV. Management Specific to cause as listed above V. Course Scarring may occur VI. References Fitzpatrick (1992) Color Atlas Dermatology Habif (1996) Dermatology, p. 248-51 (...) Deep Folliculitis Deep Folliculitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Deep Folliculitis Deep Folliculitis Aka: Deep

2018 FP Notebook

7. Pseudomonas Folliculitis

Pseudomonas Folliculitis Pseudomonas Folliculitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Pseudomonas Folliculitis Pseudomonas (...) Folliculitis Aka: Pseudomonas Folliculitis , Hot Tub Folliculitis From Related Chapters II. Etiology: Pseudomonas aeruginosa contaminated water Whirpool or hot tub Contaminated loofah sponge Contaminated diving suit Waterslide or small pool III. Symptoms Onset 8 hours to 5 days (mean 2 days) after exposure Pruritic rash most severe in bathing suit area May be associated with systemic symptoms Malaise Low grade fever IV. Signs Characteristics: Perifollicular lesions Initial l under 3 cm Central or Healing

2015 FP Notebook

8. Impact of Type III Secretion Effectors and of Phenoxyacetamide Inhibitors of Type III Secretion on Abscess Formation in a Mouse Model of <i>Pseudomonas aeruginosa</i> Infection. (PubMed)

Impact of Type III Secretion Effectors and of Phenoxyacetamide Inhibitors of Type III Secretion on Abscess Formation in a Mouse Model of Pseudomonas aeruginosa Infection. Pseudomonas aeruginosa is a leading cause of intra-abdominal infections, wound infections, and community-acquired folliculitis, each of which may involve macro- or microabscess formation. The rising incidence of multidrug resistance among P. aeruginosa isolates has increased both the economic burden and the morbidity

Full Text available with Trip Pro

2017 Antimicrobial Agents and Chemotherapy

9. Gram-Negative Folliculitis (Diagnosis)

should be considered in patients with acne who have a flare-up of pustular or cystic lesions and in patients whose acne is resistant to treatment. Gram-negative folliculitis may also occur in the setting of hot-tub immersion and in people infected with HIV. Note the image below. Pseudomonas folliculitis. Courtesy of Hon Pak, MD. Next: Pathophysiology The anterior nares serve as a reservoir of gram-negative organisms. Prolonged systemic antibiotic treatment can alter the relative prevalence (...) described. [ , ] Type 2 lesions are associated with Proteus species. These species are motile and, thus, have the ability to invade more deeply, producing the large suppurative abscesses that result in deeper cystic lesions. Folliculitis caused by Pseudomonas organisms is typically associated with immersion in hot tubs and swimming pools, resulting in a . [ ] Aeromonas hydrophila has also been associated with water sources, including an inflatable pool. [ , ] Home spas have also been implicated

2014 eMedicine.com

10. Folliculitis (Diagnosis)

syndrome caused by Pseudomonas aeruginosa. J Am Acad Dermatol . 2007 Oct. 57(4):596-600. . Dong H, Duncan LD. Cytologic findings in Demodex folliculitis: a case report and review of the literature. Diagn Cytopathol . 2006 Mar. 34(3):232-4. . Boer A, Herder N, Winter K, Falk T. Herpes folliculitis: clinical, histopathological, and molecular pathologic observations. Br J Dermatol . 2006 Apr. 154(4):743-6. . Weinberg JM, Mysliwiec A, Turiansky GW, Redfield R, James WD. Viral folliculitis. Atypical (...) excoriated. Diaper occlusion may have been related to onset of the rash. A 30-year-old woman with hot tub folliculitis. She had used a hot tub 2 days prior, wearing a bikini-style bathing suit. Pseudomonas folliculitis. Courtesy of Hon Pak, MD. Superficial folliculitis with neutrophils concentrated in the upper aspect of the follicle Perifolliculitis, showing inflammatory cells surrounding the follicle, of 5 Tables Contributor Information and Disclosures Author Elizabeth K Satter, MD, MPH Dermatologist

2014 eMedicine.com

11. Gram-Negative Folliculitis (Overview)

should be considered in patients with acne who have a flare-up of pustular or cystic lesions and in patients whose acne is resistant to treatment. Gram-negative folliculitis may also occur in the setting of hot-tub immersion and in people infected with HIV. Note the image below. Pseudomonas folliculitis. Courtesy of Hon Pak, MD. Next: Pathophysiology The anterior nares serve as a reservoir of gram-negative organisms. Prolonged systemic antibiotic treatment can alter the relative prevalence (...) described. [ , ] Type 2 lesions are associated with Proteus species. These species are motile and, thus, have the ability to invade more deeply, producing the large suppurative abscesses that result in deeper cystic lesions. Folliculitis caused by Pseudomonas organisms is typically associated with immersion in hot tubs and swimming pools, resulting in a . [ ] Aeromonas hydrophila has also been associated with water sources, including an inflatable pool. [ , ] Home spas have also been implicated

2014 eMedicine.com

12. Folliculitis (Overview)

syndrome caused by Pseudomonas aeruginosa. J Am Acad Dermatol . 2007 Oct. 57(4):596-600. . Dong H, Duncan LD. Cytologic findings in Demodex folliculitis: a case report and review of the literature. Diagn Cytopathol . 2006 Mar. 34(3):232-4. . Boer A, Herder N, Winter K, Falk T. Herpes folliculitis: clinical, histopathological, and molecular pathologic observations. Br J Dermatol . 2006 Apr. 154(4):743-6. . Weinberg JM, Mysliwiec A, Turiansky GW, Redfield R, James WD. Viral folliculitis. Atypical (...) excoriated. Diaper occlusion may have been related to onset of the rash. A 30-year-old woman with hot tub folliculitis. She had used a hot tub 2 days prior, wearing a bikini-style bathing suit. Pseudomonas folliculitis. Courtesy of Hon Pak, MD. Superficial folliculitis with neutrophils concentrated in the upper aspect of the follicle Perifolliculitis, showing inflammatory cells surrounding the follicle, of 5 Tables Contributor Information and Disclosures Author Elizabeth K Satter, MD, MPH Dermatologist

2014 eMedicine.com

13. Gram-Negative Folliculitis (Treatment)

, which includes ampicillin and trimethoprim-sulfamethoxazole. Reports have conflicted concerning the degree to which these medications can eradicate the carriage of gram-negative organisms and induce remission. Most studies describe recurring infection after therapy is discontinued, making antibiotic use largely a suppressive modality. Gram-negative folliculitis caused by Pseudomonas organisms in whirlpools usually subsides spontaneously within 10 days without recurrence. In patients with facial (...) folliculitis caused by Pseudomonas organisms associated with acne vulgaris, the infection clears when the source of the organism, external otitis, is cured. Acinetobacter baumannii folliculitis in the setting of AIDS has responded to intravenous treatment with ticarcillin-clavulanic acid. Most patients have ordinary acne in addition to gram-negative folliculitis. Once the folliculitis has responded, residual acne must be treated by other methods, including retinoic acid, benzoyl peroxide, cryotherapy

2014 eMedicine.com

14. Folliculitis (Treatment)

of Purulent Folliculitis: A Case Report and Review of the Literature. J Pediatric Infect Dis Soc . 2016 Dec 16. . Yu Y, Cheng AS, Wang L, Dunne WM, Bayliss SJ. Hot tub folliculitis or hot hand-foot syndrome caused by Pseudomonas aeruginosa. J Am Acad Dermatol . 2007 Oct. 57(4):596-600. . Dong H, Duncan LD. Cytologic findings in Demodex folliculitis: a case report and review of the literature. Diagn Cytopathol . 2006 Mar. 34(3):232-4. . Boer A, Herder N, Winter K, Falk T. Herpes folliculitis: clinical (...) : a retrospective analysis of 94 biopsy-proven cases. Int J Dermatol . 2018 Mar. 57 (3):e19-e20. . Media Gallery A 22-month-old boy with a staphylococcal folliculitis on the buttocks. The lesions have been excoriated. Diaper occlusion may have been related to onset of the rash. A 30-year-old woman with hot tub folliculitis. She had used a hot tub 2 days prior, wearing a bikini-style bathing suit. Pseudomonas folliculitis. Courtesy of Hon Pak, MD. Superficial folliculitis with neutrophils concentrated

2014 eMedicine.com

15. Gram-Negative Folliculitis (Follow-up)

, which includes ampicillin and trimethoprim-sulfamethoxazole. Reports have conflicted concerning the degree to which these medications can eradicate the carriage of gram-negative organisms and induce remission. Most studies describe recurring infection after therapy is discontinued, making antibiotic use largely a suppressive modality. Gram-negative folliculitis caused by Pseudomonas organisms in whirlpools usually subsides spontaneously within 10 days without recurrence. In patients with facial (...) folliculitis caused by Pseudomonas organisms associated with acne vulgaris, the infection clears when the source of the organism, external otitis, is cured. Acinetobacter baumannii folliculitis in the setting of AIDS has responded to intravenous treatment with ticarcillin-clavulanic acid. Most patients have ordinary acne in addition to gram-negative folliculitis. Once the folliculitis has responded, residual acne must be treated by other methods, including retinoic acid, benzoyl peroxide, cryotherapy

2014 eMedicine.com

16. Folliculitis (Follow-up)

of Purulent Folliculitis: A Case Report and Review of the Literature. J Pediatric Infect Dis Soc . 2016 Dec 16. . Yu Y, Cheng AS, Wang L, Dunne WM, Bayliss SJ. Hot tub folliculitis or hot hand-foot syndrome caused by Pseudomonas aeruginosa. J Am Acad Dermatol . 2007 Oct. 57(4):596-600. . Dong H, Duncan LD. Cytologic findings in Demodex folliculitis: a case report and review of the literature. Diagn Cytopathol . 2006 Mar. 34(3):232-4. . Boer A, Herder N, Winter K, Falk T. Herpes folliculitis: clinical (...) : a retrospective analysis of 94 biopsy-proven cases. Int J Dermatol . 2018 Mar. 57 (3):e19-e20. . Media Gallery A 22-month-old boy with a staphylococcal folliculitis on the buttocks. The lesions have been excoriated. Diaper occlusion may have been related to onset of the rash. A 30-year-old woman with hot tub folliculitis. She had used a hot tub 2 days prior, wearing a bikini-style bathing suit. Pseudomonas folliculitis. Courtesy of Hon Pak, MD. Superficial folliculitis with neutrophils concentrated

2014 eMedicine.com

17. Deep Folliculitis

Folliculitis From Related Chapters II. Causes ( or ) (Pseudomonas aeruginosa) Sycosis (entire inflammed) Sycosis barbae (beard area involved) Scalp involvement Gram-negative Associated with longterm antibiotic for Usually involves face Caused by , , Consider treatment with Isotretoin ( ) III. Symptoms and signs Painful, swollen red mass IV. Management Specific to cause as listed above V. Course Scarring may occur VI. References Fitzpatrick (1992) Color Atlas Dermatology Habif (1996) Dermatology, p. 248-51 (...) Deep Folliculitis Deep Folliculitis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Deep Folliculitis Deep Folliculitis Aka: Deep

2015 FP Notebook

18. Pseudomonas Infection (Follow-up)

Safety Communication - FDA Requests Label Changes and Single-Use Packaging to Decrease Risk of Infection. FDA . 11/13/2013. Available at . Zegans ME, DiGiandomenico A, Ray K, Naimie A, Keller AE, Stover CK, et al. Association of Biofilm Formation, Psl Exopolysaccharide Expression, and Clinical Outcomes in Pseudomonas aeruginosa Keratitis: Analysis of Isolates in the Steroids for Corneal Ulcers Trial. JAMA Ophthalmol . 2016 Feb 4. . Media Gallery Erythematous papulopustules of pseudomonas folliculitis (...) Pseudomonas Infection (Follow-up) Pseudomonas Infection Follow-up: Further Outpatient Care, Further Inpatient Care, Inpatient & Outpatient Medications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Pediatrics

19. Pseudomonas Infection (Overview)

/2013. Available at . Zegans ME, DiGiandomenico A, Ray K, Naimie A, Keller AE, Stover CK, et al. Association of Biofilm Formation, Psl Exopolysaccharide Expression, and Clinical Outcomes in Pseudomonas aeruginosa Keratitis: Analysis of Isolates in the Steroids for Corneal Ulcers Trial. JAMA Ophthalmol . 2016 Feb 4. . Media Gallery Erythematous papulopustules of pseudomonas folliculitis. Courtesy of Mark Welch, MD. of 1 Tables Contributor Information and Disclosures Author Selina SP Chen, MD, MPH (...) Pseudomonas Infection (Overview) Pseudomonas Infection: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTcwOTA0LW92ZXJ2aWV3 processing > Pseudomonas Infection Updated: Dec

2014 eMedicine Pediatrics

20. Pseudomonas Infection (Diagnosis)

/2013. Available at . Zegans ME, DiGiandomenico A, Ray K, Naimie A, Keller AE, Stover CK, et al. Association of Biofilm Formation, Psl Exopolysaccharide Expression, and Clinical Outcomes in Pseudomonas aeruginosa Keratitis: Analysis of Isolates in the Steroids for Corneal Ulcers Trial. JAMA Ophthalmol . 2016 Feb 4. . Media Gallery Erythematous papulopustules of pseudomonas folliculitis. Courtesy of Mark Welch, MD. of 1 Tables Contributor Information and Disclosures Author Selina SP Chen, MD, MPH (...) Pseudomonas Infection (Diagnosis) Pseudomonas Infection: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTcwOTA0LW92ZXJ2aWV3 processing > Pseudomonas Infection Updated

2014 eMedicine Pediatrics

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